VITAL - Death: Freda Kotter; Brigham City, Box Elder co., Utah

Transcribed & submitted by W. D. Samuelsen
***********************************************************************
Copyright.  All rights reserved.
http://www.usgwarchives.net/copyright.htm
http://www.usgwarchives.net/ut/utfiles.htm
http://files.usgwarchives.net/ut/boxelder/vitals/deaths/1904/kotter-freda.txt
***********************************************************************
State Board of Health File No.: 2
Stamped File No.: 0400057/040058

Place of Death: 
Precinct of: 
City, Town or Village: Brigham City
Street and No.: 

Full Name of Deceased: 
Former or Usual Residence: Brigham City
How long resident at place of death: 9 years
Length of residence in the city: 
Length of residence in the state: 

Sex: Female
Color: 
Date of Birth: September 12, 1883
Age: 29y 4m 16d
Single, Married, Widowed or Divorced: married
Name of Spouse: 
Birthplace: Cape of Good Hope, Africa
Name & Birthplace of Father: 
Maiden Name & Birthplace of Mother: 
Occupation: 
Type of occupation: 
Date last worked: 
Total time (years) in this occupation: 
Informant & Address: Brigham Wright, Brigham City
Place of Burial: 
Date of Burial: 
Undertaker & Address: 

Date of Death: January 28, 1904
Attended Date: 
Time of Death: 
Chief Cause of Death: blood poison
Where contracted: 
Duration: 
Contributory if any: 
Where Contracted: 
Duration: 
Autopsy: 
Signed: 
Date of Signature: 
Address: